On Sept. 6, 2018, the Physician-Focused Payment Model Technical Advisory Committee (PTAC) voted in favor of recommending ACEP’s proposed alternative payment model, the Acute Unscheduled Care Model (AUCM), to the secretary of the Department of Health and Human Services (HHS) for full implementation. ACEP’s model joins only four of the 26 submitted to the PTAC to date that have been recommended for full implementation. The voluntary model aims to improve quality and reduce costs in Medicare by allowing emergency physicians to accept some financial risk for the decisions they make around discharges for certain episodes of acute, unscheduled care. ACEP believes the AUCM has the potential to transform the way emergency care is delivered. While the PTAC recommendation is a victory worth celebrating for emergency medicine, there is still a long road ahead before the model becomes operational. With PTAC’s endorsement, ACEP will begin discussions with the Centers for Medicare and Medicaid Services about implementation.